ECM
Enhanced Care Management
A patient-centered approach that brings every piece of your care under one Lead Care Manager—so you stop chasing appointments and start making progress.
How it works
A statewide Medi-Cal benefit available to select members with complex needs.
01
Engagement
We keep you actively involved in your own care through regular communication, shared decision-making, education, and consistent follow-up — so nothing falls through the cracks.
02
Planning
Your Lead Care Manager works with you to build a personalized care plan: assessments, goal setting, treatment options, and coordination across every provider on your team.
03
Support
Emotional, informational, practical, financial, and behavioral support — tailored to what you actually need to manage your health day to day.
04
Education
Health literacy, condition-specific guidance, medication education, and clear explanations of treatment options so you can make confident, informed decisions.
05
Connections
We build trust through empathy, cultural competence, and personalized care — connecting you to the right clinicians, specialists, and community partners.
06
Transportation
Reliable, accessible rides to medical appointments coordinated through your care team — so getting there is never the reason you skip a visit.
07
Social Services
Case management, counseling, housing support, food assistance, financial aid, and legal navigation to address the social drivers of your health.
Proven results
The challenge — and the impact
Statewide data from the California Department of Health Care Services (DHCS), Medi-Cal, and CalAIM.
~290K+
Medi-Cal members served by ECM
Source · DHCS CalAIM Quarterly Implementation Report
Read15M+
Californians enrolled in Medi-Cal
Source · California DHCS
Read1 in 3
Californians rely on Medi-Cal for coverage
Source · California DHCS
ReadHow we overcome it
What Pacific Health Group does about it
Each challenge above is paired with the concrete way our care model addresses it on the ground.
01
One Lead Care Manager — not a phone tree
Every member gets a single point of contact who owns their care plan end-to-end. No transfers, no re-explaining your story, no falling through the cracks between specialties.
02
We meet you in your community
In-home visits, bilingual outreach, and culturally matched staff turn Medi-Cal's promise into something members actually experience — not paperwork they have to navigate alone.
03
Care that travels with the member
From hospital discharge to housing placement to behavioral health, our team stays with the member across every transition so progress compounds instead of resetting.
Who it's for
Does any of this sound like you or someone you know?
Enhanced Care Management is designed for the situations below. If even one fits you or someone you love, you likely qualify at no cost through your Medi-Cal plan.
01
Members with multiple chronic conditions
02
Recently discharged from hospital or SNF
03
Experiencing homelessness or housing instability
04
Living with serious mental illness or substance use disorder
05
Children and youth with complex behavioral or medical needs
06
Adults transitioning out of incarceration or institutional care
07
Older adults managing multiple medications and providers
08
Members with frequent ER visits in the past 6 months
What's included
Benefits
Tangible support you can count on from day one — fully covered by your Medi-Cal plan.
Dedicated Lead Care Manager
One named clinician owns your care plan end-to-end — coordinating every provider, every referral, and every follow-up so you never have to repeat your story.
Care coordination across providers
We connect primary care, specialists, behavioral health, pharmacies, and hospitals into a single plan so the right hand always knows what the left hand is doing.
Help with prescriptions & referrals
From prior authorizations to specialist appointments to medication pickups, your care team handles the logistics that usually fall to patients.
Behavioral health integration
Mental health support is built into your care plan from day one — not a separate referral you have to chase down on your own.
Transitions of care support
Hospital, ER, and skilled nursing discharges are followed up within days — medication reconciliation, follow-up visits, and home support arranged before you walk out the door.
Help with housing, food & benefits
Your Lead Care Manager connects you to housing navigation, food resources, transportation, and benefits enrollment — addressing the social drivers that affect your health.
Ready to get started?
Become a member online in minutes, or call us and a specialist will walk you through it — at no cost when covered by Medi-Cal.